Rebecca Sue Eiholzer, MFT

Individual provider Active NPI Marriage & Family Therapist · Jamesville, NY

NPI 1720296015 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720296015
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
000490 (NY)
Practice address
4178 Coye Rd
Jamesville, NY 13078-6505
Phone
(315) 492-2684
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
000490NYMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000490 NY Yes

Addresses

Primary practice location

4178 Coye Rd
Jamesville, NY 13078-6505

Mailing address

4178 Coye Rd
Jamesville, NY 13078-6505
Phone (315) 492-2684

Other providers in Jamesville, NY

All providers in Jamesville, NY · Marriage & Family Therapist in New York

Sources for this page

Verify at the official NPI Registry.